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NEUROLOGY NEURODIAGNOSTIC & PAIN CLINIC NPI 1942214242


NPI Information

NPI: 1942214242
Provider Name: NEUROLOGY, NEURODIAGNOSTIC & PAIN CLINIC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 34D1092380

Address:
1414 ELLEN ST
MONROE, NC
ZIP 28112
Phone: (704) 283-8811
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NEUROLOGY, NEURODIAGNOSTIC & PAIN CLINIC is a neurology psychiatry neurology in Monroe, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROLOGY, NEURODIAGNOSTIC & PAIN CLINIC NPI is 1942214242. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1414 ELLEN ST
MONROE, NC
ZIP 28112-173
Phone: (704) 283-8811
Fax: (704) 283-2980

The provider's authorized official is Chock Tsering .
The authorized official title is Doctor and has the following contact phone number (704) 283-8811.

The CLIA number assigned to this NPI record is 34D1092380 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 4/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD4074OTHERNORTH CAROLINARAILROAD MEDICARE
289129YAMEDICAIDNORTH CAROLINA
3E39925MEDICARE UPINNORTH CAROLINA
42329460MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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